Top 96 Pharmacy benefit coordinator Jobs in Silver Spring Md

Pharmacy Benefit Coordinator
Maryland Care Management Inc —Linthicum, MD
- $67,000 - $72,000 a year
- Full-time
- Remote
- Writing skills
- Mid-level
- High school diploma or GED
- Disability insurance
- Health insurance
12d
Pharmacy Inventory Coordinator II
Sibley Memorial Hospital —Washington, DC
- Full-time
- Hospital
- Mid-level
- Residential
- Free parking
- Tuition reimbursement
Pharmacy Inventory Coordinator I
Sibley Memorial Hospital —Washington, DC
- Full-time
- Hospital
- Mid-level
- Residential
- Free parking
- Tuition reimbursement
Care Coordinator for LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfax, Springfield and Alexandria, VA)
Sentara Health Administration, Inc. —Fairfax, VA
- Full-time
- Remote
- Nursing
- Caregiving
- Travel
- 403(b) matching
- Paid parental leave
Quick Apply
5d
Transplant Coordinator - Advanced Lung Disease
Inova Health System —Falls Church, VA
- $92,934.40 - $116,168.00 a year
- Full-time
- Background check
- Nursing
- Patient monitoring
- Wellness program
- Paid parental leave
Quick Apply
Care Manager
Amerihealth Caritas —Washington, DC
- $83,400 - $113,600 a year
- Full-time
- Microsoft Word
- Nursing
- Microsoft Outlook
- Commuter assistance
- Paid holidays
Clinical Research Nurse
Conquest Research —Arlington, VA
- $75,000 a year
- Full-time
- Nursing
- Vital signs
- RN License
- Health savings account
- Health insurance
Quick Apply
11d
Pharmacy Onboarding Enrollment Coordinator
Mosaic Pharmacy —Sterling, VA
- $26 - $28 an hour
- Overtime
- Remote
- Background check
- Pass drug screening
- Mid-level
- Health savings account
- AD&D insurance
Unit Communications Associate - NICU
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- In person
- Microsoft Word
- Computer literacy
- Basic math
- Commuter assistance
- AD&D insurance
Unit Communications Associate - PACU
Children's National Hospital —Washington, DC
- $20.75 - $40.99 an hour
- Full-time
- In person
- Microsoft Word
- Computer literacy
- Basic math
- Commuter assistance
- AD&D insurance
Front Desk Coordinator/Receptionist
Verve Behavioral Health —Washington, DC
- $20 - $25 an hour
- Full-time
- Background check
- HIPAA
- Residential
- Health insurance
- Paid time off
Quick Apply
6d
Clinical Trial Coordinator
Black Canyon Consulting —Bethesda, MD
- Mid-level
- Training & development
- Paid holidays
- Health insurance
Project Coordinator, Performance Guarantees
CVS Health —Washington, DC
- $46,988 - $122,400 a year
- Full-time
- Hybrid work
- Mid-level
- Office
- High school diploma or GED
- Health insurance
- Dental insurance
19h
Patient Services Coordinator - PT/PRN - Days - Doctors Comm Med Ctr
Luminis Health —Lanham, MD
- $18.00 - $21.96 an hour
- Part-time
- Microsoft Outlook
- Hospital
- HIPAA
- AD&D insurance
- Paid holidays
Membership Coordinator
(c) Management, Inc., (CMI) —Rockville, MD
- $45,000 - $52,000 a year
- Full-time
- Hybrid work
- Microsoft Excel
- Microsoft Outlook
- Marketing
- Commuter assistance
- Health savings account
Clinical Research Associate
Georgetown University —Washington, DC
- $47,586.00 - $87,558.13 a year
- Full-time
- Patient monitoring
- 5 years
- Mid-level
- Disability insurance
- Health insurance
Food Bank Coordinator
AIDS Healthcare Foundation —Temple Hills, MD
- High school diploma or GED
- Entry level
- Health insurance
Quick Apply
6d
Research Data Coordinator 2
Georgetown University —Washington, DC
- $18.40 - $27.33 an hour
- Full-time
- 5 years
- HIPAA
- Mid-level
- Disability insurance
- Health insurance
7d
Patient Services Coordinator - FT - Days - Doctors Comm Med Ctr
Luminis Health —Lanham, MD
- $18.00 - $21.96 an hour
- Full-time
- Microsoft Outlook
- Hospital
- HIPAA
- AD&D insurance
- Paid holidays
Clinical Research Coordinator I
U.S. Dermatology Partners —Rockville, MD
- $55,000 - $65,000 a year
- Full-time
- Vital signs
- Microsoft Outlook
- Computer literacy
- Paid holidays
- Health insurance
Quick Apply

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Pharmacy Benefit Coordinator

Maryland Care Management Inc -
Linthicum, MD

Apply Now

Job Details

Full-time
$67,000 - $72,000 a year
12 days ago

Benefits

Disability insurance
Health insurance
Dental insurance
Tuition reimbursement
Paid time off
Vision insurance
401(k) matching
Life insurance

Qualifications

Formulary management
Report writing
Overseeing health insurance pre-certification
Writing skills
Pharmacy Technician License
PTCB Certification
Utilization management
Resource utilization in healthcare
Data interpretation

Full Job Description

Description:

Summary:

The Pharmacy Benefit Coordinator is responsible for supporting clinical outreach services to our members, their pharmacies, and their healthcare providers to ensure member safety, minimize gaps in care, identify cost-effective medication strategies, and coordinate care to improve healthcare outcomes for our members. The position will support HEDIS adherence initiatives and work to support longitudinal improvement goals.

In addition, the Pharmacy Benefit Coordinator performs a variety of routine to moderately complex administrative and pharmacy-related tasks that support the Pharmacy Management team within the department. The Pharmacy Management team is responsible for managing the pharmacy benefits for Maryland Physicians Care in collaboration with the pharmacy benefit management (PBM) vendor and the organization’s utilization review, quality improvement, provider relations, and population health initiatives.

About Maryland Care Management, Inc. (MCMI)

Maryland Care Management, Inc. (MCMI) manages Maryland Physician Care's (MPC) statewide provider network of hospitals and physicians. Maryland Physicians Care has been providing services to the HealthChoice Medicaid populations since 1996, and we are proud of our footprint in the community. With over 230,000 members, MPC consistently has been one of MD's largest Medicaid-managed care organizations.

Why join us?

MCMI recognizes the importance of flexibility and offers multiple work arrangements. Along with competitive pay, we offer excellent benefits (medical, dental, and vision plans, 100% employer Term Life Insurance, Short and Long-Term Disability, 401k Employer Match up to 4%) as well as 20 days of PTO, and tuition assistance/professional development plans.

Your future colleagues at MCMI are welcoming, friendly, and eager to help each other succeed. We are committed to Diversity, Equity, and Inclusion, providing organizational-wide social opportunities, and constantly improving our ongoing efforts to impact our members' lives positively.

What You'll Do:

Work collaboratively with quality management to support HEDIS adherence projects.
Support the accurate implementation and coding of pharmacy benefits, formulary, and program changes, including review of PBM testing scenarios.
Review pharmacy services recommended for denial. Of those recommendations, investigate and review data and information retrieved from plan providers.
Assist in the management of members by collecting pertinent information from plan providers and other pharmacy data systems.
Assist in various pharmacy, utilization review/management, quality improvement, provider relations, and population health initiatives.
Serve as a pharmacy liaison and resource person to plan pharmacies and members.
Assist the Pharmacist with monitoring and evaluation of pharmacy utilization.

Requirements:

Knowledge and Skills:

Thorough understanding of prescription benefit management (PBM) programs and practices.
Ability to identify, communicate findings, and resolve member, provider, process, and system issues, communicating recommendations verbally and in writing.
Business writing and presentation skills, including writing reports.
Excellent attention to detail, including but not limited to interpretation and understanding of benefits/codes.
Familiarity with government relations and the ability to operationalize and understand how various aspects of regulation are interdependent and related.

Education and Work Experience:

High School diploma/ GED, or equivalent.
Current Maryland State Pharmacy Technician licensure, including certification from a nationally recognized Pharmacy Technician Certification Board.
Minimum two (2) years of experience as a pharmacy technician.
Experience working in a managed care, insurance, PBM, or equivalent environment is strongly preferred.
Experience supporting utilization management/prior authorization processes.

EEOC Statement: Following applicable federal, state, and local laws, MCMI prohibits discrimination in employment based on race, color, religion, sex (including pregnancy, gender identity, and sexual orientation), national origin, age, disability, genetic information, or any other characteristic protected by law. This commitment extends to all aspects of employment, including hiring, promotion, compensation, benefits, training, social and recreational programs, and all other conditions and privileges of employment. As a healthcare organization, we recognize the vital importance of inclusivity in delivering quality care to our patients. We strive to foster an environment where individuals of all backgrounds feel respected, valued, and supported. We aim to better comprehend the unique needs of our patients and provide healthcare services that are culturally competent and sensitive. We encourage candidates from all backgrounds to apply and join us in our mission to provide compassionate and inclusive healthcare. We believe that a diverse workforce enriches our organization and allows us to better understand, connect with, and serve our diverse patient population.

Apply Now

Refine Your Search

pharmacy benefit coordinator jobs in silver spring md

Pharmacy Benefit Coordinator

Pharmacy Inventory Coordinator II

Pharmacy Inventory Coordinator I

Care Coordinator for LTSS Waiver Members/Medicaid - Remote in NOVA (Fairfax, Springfield and Alexandria, VA)

Transplant Coordinator - Advanced Lung Disease

Care Manager

Clinical Research Nurse

Pharmacy Onboarding Enrollment Coordinator

Unit Communications Associate - NICU

Unit Communications Associate - PACU

Front Desk Coordinator/Receptionist

Clinical Trial Coordinator

Project Coordinator, Performance Guarantees

Patient Services Coordinator - PT/PRN - Days - Doctors Comm Med Ctr

Membership Coordinator

Clinical Research Associate

Food Bank Coordinator

Research Data Coordinator 2

Patient Services Coordinator - FT - Days - Doctors Comm Med Ctr

Clinical Research Coordinator I

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